Study of Asthma and Nasal Steroids

NCT ID: NCT01118312

Last Updated: 2015-11-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

388 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2015-06-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The trial will study the effectiveness of nasal steroids for the treatment of chronic rhinitis and/or sinusitis on asthma control.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Previous trials completed by the American Lung Association-Airways Clinical Research Centers (ALA-ACRC) network have identified rhinitis and/or sinusitis as a significant co-morbidity in people with asthma that affects asthma symptoms and control. The objective of this clinical trial is to determine if treatment of chronic rhinitis and/or sinusitis with nasal steroids improves control of asthma in children and adults. Although chronic rhinitis and/or sinusitis have been associated with poor asthma control and increased health care utilization, the effect of treating these diseases on asthma control is not known. This will be a six-month randomized, double-blinded, placebo-controlled trial enrolling 380 participants, 190 children and 190 adults, with poorly controlled asthma and chronic rhinitis/sinusitis. Participants will be randomized to receive nasal steroid or a matching placebo in addition to their regular asthma treatments. The primary objective of the trial will be to evaluate whether the addition of treatment with nasal steroids improves asthma control. We will perform allergy skin testing on all participants and keep a record of pollen counts at all centers, to determine if allergy is an important factor in the response to nasal steroid in participants.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Asthma Rhinitis Sinusitis

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Nasal Steroid

Intranasal mometasone, 1 spray (age \< 12 yr) or 2 sprays (age \>= 12 yrs) each nostril once a day

Group Type ACTIVE_COMPARATOR

Mometasone Furoate monohydrate

Intervention Type DRUG

Intranasal mometasone, 1 spray (age \< 12 yr) or 2 sprays (age \>= 12 yrs) each nostril once a day for 6 months

Placebo

Intranasal placebo, 1 spray (age \< 12 yr) or 2 sprays (age \>= 12 yrs) each nostril once a day

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Intranasal placebo spray

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Mometasone Furoate monohydrate

Intranasal mometasone, 1 spray (age \< 12 yr) or 2 sprays (age \>= 12 yrs) each nostril once a day for 6 months

Intervention Type DRUG

Placebo

Intranasal placebo spray

Intervention Type OTHER

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Nasonex

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Physician diagnosed asthma
* At least 12% increase in forced expiratory volume at one second (FEV1) after 2-4 puffs of albuterol or positive methacholine challenge (20% fall in FEV1 at less than 16 mg/ml methacholine); either of these can be available from the last 2 years before enrollment
* Poorly controlled asthma as documented by a score of 19 or less on the Asthma Control Test (ACT) for participants 12 and older, and a Childhood Asthma Control Test (C-ACT) for 6-11 years(both V1 and V2).
* Chronic symptoms of rhinitis and sinusitis as measured by a mean score of 1 on the Sino-nasal questionnaire
* Males and females, age 6 and older

Exclusion Criteria

* Co-morbidity that predisposes to complicated rhino-sinusitis (e.g., cystic fibrosis, insulin dependent diabetes mellitus, immunodeficiency disorder)
* Chronic diseases (other than asthma) that in the opinion of the investigator would prevent participation in the trial or put the participant at risk by participation, e.g. chronic diseases of the lung (other than asthma), heart, liver, kidney or nervous system.
* History of sinus surgery in last 6 months
* Systemic/nasal steroids within last 4 weeks
* Anti-leukotriene medication
* History of upper airway symptoms for less than 8 weeks at the time of enrollment
* Fever \> 38.3 degrees Celsius or patient history of fever in last 10 days
* Greater than 10 pack year smoking history or active smoking within the last 6 months
* FEV1 \< 50% predicted
* Females of childbearing potential that are pregnant or lactating, or unwilling to practice an adequate birth control method
* Allergy or intolerance to nasal mometasone
* Cataracts, history of glaucoma, or other conditions resulting in increased intraocular pressure
* Any investigational drug in the last 6 weeks
* Inability to comply with study procedures, including:

* Inability or unwillingness to provide informed consent (or assent in the case of a minor)
* Inability to take study medication
* Inability to perform baseline measurements
* Completion of less than 10 of the 14 days of screening period diary entry
* Inability to be contacted by phone
* Intention to move out of the area within 6 months
Minimum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

National Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

JHSPH Center for Clinical Trials

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Anne Dixon, MD

Role: PRINCIPAL_INVESTIGATOR

University of Vermont

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

University of Arizona

Tucson, Arizona, United States

Site Status

University of California, San Diego

San Diego, California, United States

Site Status

National Jewish Health

Denver, Colorado, United States

Site Status

Nemours Children's Clinic

Jacksonville, Florida, United States

Site Status

Univeristy of Miami School of Medicine

Miami, Florida, United States

Site Status

University of South Florida College of Medicine

Tampa, Florida, United States

Site Status

Northwestern Memorial Hospital

Chicago, Illinois, United States

Site Status

Indiana University

Indianapolis, Indiana, United States

Site Status

Louisiana State University Health Sciences Center

New Orleans, Louisiana, United States

Site Status

University of Missouri, Kansas City School of Medicine

Kansas City, Missouri, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

North Shore-Long Island Jewish Health System

New Hyde Park, New York, United States

Site Status

New York University School of Medicine

New York, New York, United States

Site Status

New York Medical College

Valhalla, New York, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Davis Heart and Lung Research Institute

Columbus, Ohio, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Vermont Lung Center at the University of Vermont

Burlington, Vermont, United States

Site Status

Univeristy of Virginia

Charlottesville, Virginia, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

Related Links

Access external resources that provide additional context or updates about the study.

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

R01 HL089464-01A2

Identifier Type: OTHER

Identifier Source: secondary_id

R01 HL00895101-01A2

Identifier Type: OTHER

Identifier Source: secondary_id

ALAACRC-11

Identifier Type: -

Identifier Source: org_study_id